Provider Demographics
NPI:1497825780
Name:KARSTEN, BRIAN FREDRICK (CP)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:FREDRICK
Last Name:KARSTEN
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 F RD STE 9
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1279
Mailing Address - Country:US
Mailing Address - Phone:970-243-6000
Mailing Address - Fax:970-241-2914
Practice Address - Street 1:2470 F RD STE 9
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1279
Practice Address - Country:US
Practice Address - Phone:970-243-6000
Practice Address - Fax:970-241-2914
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08001679Medicaid
0280770001Medicare NSC